| Organization Name: | USAF 81ST MEDICAL GROUP |
| NPI Number: | 1174972772 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARAH WOODSIDE (PHYSICIAN) |
| Mailing Address: | 81msgs/sgcq 301 Fisher St, Rm 5a127 Keesler Afb |
| State: | MS US |
| Postal Code: | 39534 |
| Phone Number: | 2283776550 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2016 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |